1. Home
  2. Directory
  3. Georgia
  4. Athens
  5. Eyewear Supplier
  6. NPI Profile

SAM'S EAST INC
NPI 1578652194
Eyewear Supplier in Athens, GA

Active since October 12, 2006
4365 ATLANTA HWY, ATHENS, GA 30606(706) 548-2824(706) 548-9676 Get Directions Write a Review

NPPES record last updated: June 15, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Sep 11, 2025, Aug 22, 2020 (2 updates tracked since 2020).

About Sam's East Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAM'S EAST INC (NPI 1578652194), doing business as Sam's Club Optical 30-8194, is a healthcare organization registered as an eyewear supplier in Athens, Georgia and active in the NPI registry since October 2006. The organization lists Kimberly Canonic, Sr Director, as its authorized official.

NPPES Registry Identity

NPI1578652194
Entity TypeOrganization
Primary Taxonomy332H00000X
Legal Business NameSAM'S EAST INC
Location Address4365 ATLANTA HWYAthens, GA 30606-0808
Mailing Address1 Customer Dr, Ms 0445Bentonville, AR 72716-0445
Phone(706) 548-2824
Fax(706) 548-9676
Organization SubpartNo
Authorized OfficialKimberly CanonicSr Director · (480) 853-0515
Enumeration DateOctober 12, 2006
Last NPPES UpdateJune 15, 20262 updates tracked since enumeration
NPPES CertifiedJune 15, 2026
✔ NPI 1578652194 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEyewear SupplierSuppliers
Taxonomy Code332H00000X
Definition

An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.

Also ListedTechnician/Technologist · OpticianTaxonomy 156FX1800X
4365 ATLANTA HWY, Athens, GA 30606
Open in Google Maps ↗

Other Names 2

Doing Business AsSam's Club Optical 30-8194
Doing Business AsSam's Optical Center 30-8194

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana.Insurance ›

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CRYSTAL WINGFIELD PHARMD
Pharmacist
4365 ATLANTA HWY
ATHENS, GA 30606
Clarke County (706) 548-1913
YVONNE H ALMOND
Pharmacist
4365 ATLANTA HWY
ATHENS, GA 30606
Clarke County (706) 548-1913
KIMBERLY MARLENE JOHNSTON
Technician/Technologist (Optician)
4365 ATLANTA HWY
ATHENS, GA 30606
Clarke County (706) 548-2824
SAMS EAST INC
Pharmacy (Community/Retail Pharmacy)
4365 ATLANTA HWY
ATHENS, GA 30606
Clarke County (706) 548-1913

Frequently Asked Questions

What is SAM'S EAST INC's NPI number?

The NPI number assigned to this healthcare provider is 1578652194, enumerated as an "organization" on October 12, 2006.

Where is the provider located?

The provider is located at 4365 ATLANTA HWY ATHENS, GA 30606 and the phone number is (706) 548-2824.

What is the provider's specialty?

Eyewear Supplier with taxonomy code 332H00000X.

What insurance does SAM'S EAST INC accept?

The provider might be accepting Accepts: Blue Cross and Blue Shield of Louisiana. Please consult your insurance carrier or call the provider to verify.